WALGREENS #05390
NPI 1255346250
Pharmacy in Houston, TX

Active since July 29, 2006CLIA 45D2226400 · Waiver
8300 WILCREST DR, HOUSTON, TX 77072(281) 530-6210(281) 530-6058 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 14, 2023, Apr 26, 2022, Feb 11, 2022 and 3 more (6 updates tracked since 2015).

About Walgreens #05390 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREENS #05390 (NPI 1255346250) is a healthcare organization registered as a pharmacy in Houston, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1255346250
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address8300 WILCREST DRHouston, TX 77072-4326
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(281) 530-6058
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateFebruary 14, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
NPI 1255346250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TX · 10872
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
8300 WILCREST DR, Houston, TX 77072

Other Names 1

Doing Business AsWalgreens #05390

Other Identifiers 3

Medicaid462375TX
Other4567357Other Id Number-commercial Number
Medicaid468930TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2226400

Walgreens #05390 · Houston, TX
Active · expires May 27, 2027
CLIA Number45D2226400
Laboratory TypePharmacy
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorKhanh N. Do
Laboratory Phone(281) 530-6210
Laboratory LocationWalgreens #053908300 Wilcrest Dr, Houston, TX 77072
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services32 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #05390 carries, from the Medicare DMEPOS supplier directory.

Walgreens #05390

DMEPOS supplier · Houston, TXOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #05390 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20357909
Medicare Participant SinceMarch 1, 2022
Supplier Location8300 Wilcrest DrHouston, TX 77072
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
8300 WILCREST DR
HOUSTON, TX 77072
Pharmacist
8300 WILCREST DR
HOUSTON, TX 77072
Pharmacist
8300 WILCREST DR
HOUSTON, TX 77072
Pharmacist
8300 WILCREST DR
HOUSTON, TX 77072
Pharmacist
8300 WILCREST DR
HOUSTON, TX 77072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255346250, enumerated as an "organization" on July 29, 2006.

The provider is located at 8300 WILCREST DR HOUSTON, TX 77072 and the phone number is (281) 530-6210.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.